bcstout Posted May 17, 2012 Share Posted May 17, 2012 We ran out of Toradol 3 weeks ago; due to the nationwide shortage, their is no knowing when we will get it back. I use it a lot for extreme musculoskeletal pain and Migraine abortion treatment. It worked so well for me. I hate losing it since I'm falling back to Ibuprofen now. I always get the eye roll now and how it "does not work" instead of the usual acceptance of the "pain shot". Anyone else relate to this? Link to comment Share on other sites More sharing options...
surgblumm Posted May 17, 2012 Share Posted May 17, 2012 It's a real life saver for the pain of renal colic. does this shortage apply to oral tablets only? Link to comment Share on other sites More sharing options...
bcstout Posted May 17, 2012 Author Share Posted May 17, 2012 As far as I know, the shortage is for injection. http://www.ashp.org/DrugShortages/Current/Bulletin.aspx?id=593 Link to comment Share on other sites More sharing options...
surgblumm Posted May 17, 2012 Share Posted May 17, 2012 Bummer! big time. It has also been great for fractures and holds the pain threshold prior to surgery. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted May 17, 2012 Moderator Share Posted May 17, 2012 we get 60 mg vials but not 30 mg now. we are trying to use it only for kidney stones and probable gb issues. Link to comment Share on other sites More sharing options...
Hemegroup Posted May 17, 2012 Share Posted May 17, 2012 Yup, it's being conserved. I believe there's also a shortage of Bupivacaine at the moment, so I have to do my injections with Lido, ugh. Link to comment Share on other sites More sharing options...
marilynpac Posted May 17, 2012 Share Posted May 17, 2012 we get 60 mg vials but not 30 mg now. we are trying to use it only for kidney stones and probable gb issues. Didn't do anything for my impacted kidney stone....might as well got a shot of saline.. Link to comment Share on other sites More sharing options...
Moderator ventana Posted May 17, 2012 Moderator Share Posted May 17, 2012 make sure you read ALOT about oral toradol - not a good drug - don't think you can just sub PO for IV/IM on a side note - had my first seizure due to Toradol given for renal colic..... sort of scarrrrry side effect Link to comment Share on other sites More sharing options...
jmj11 Posted May 17, 2012 Share Posted May 17, 2012 I purchased a box of 10 60 MG last week. So the shortage has not hit here yet. I also have used a lot of Sprix, when it is paid for. A good migraine rescue when abortives have failed. Link to comment Share on other sites More sharing options...
NoClinic4Me Posted May 17, 2012 Share Posted May 17, 2012 I've been using it for renal colic for years, never had an issue. I also do use it for headaches as others have mentioned. Pat Link to comment Share on other sites More sharing options...
maryfran123 Posted May 17, 2012 Share Posted May 17, 2012 No shortage here. It is a pretty big component for pain management with our Trauma pts as long as no contraindication for its use. Link to comment Share on other sites More sharing options...
surgblumm Posted May 17, 2012 Share Posted May 17, 2012 To all you wonderful people who have made the last five or six posts. I;m glad to hear that the shortage is not everywhere although I will check with the hospital where I operate. Technically, there is a black box warning saying it should not be used in the peri-operative period and I have seen a few cases of post-op bleeding when others used Toradol in that situation. I have used Toradol personally as an IV dose of 30 mg when I had renal colic and unlike one of you who have posted, I had almost instant pain relief. This is a great medication to become familir with just as Ultram is a good oral pain medication. Hopefully, we are talking about regional shortages althoug the URL that was posted described a national problem. thanks for all of your input. Being tied up in other forums I had rarely come to this forum but since the demise of the Duke PA forum , this is quickly becoming one of my two favorites. bob Blumm Link to comment Share on other sites More sharing options...
d2305 Posted May 17, 2012 Share Posted May 17, 2012 I picked some up at a local pharmacy. Not available from hank schein. Link to comment Share on other sites More sharing options...
Moderator True Anomaly Posted May 17, 2012 Moderator Share Posted May 17, 2012 It's sporadic around our hospital system- some places are fine, others only have 60 mg vials. I'm okay with that for now. What I'm hating is the shortage of both compazine and reglan at our places Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted May 17, 2012 Moderator Share Posted May 17, 2012 What I'm hating is the shortage of both compazine and reglan at our places we are also having intermittent zofran shortages leaving only phenergan....(or inapsine but then you have to deal with nurses demanding ekg's, 30 min of cardiac monitor, etc) Link to comment Share on other sites More sharing options...
flyingsquirrel Posted May 17, 2012 Share Posted May 17, 2012 We are also intermittently short on zofran on the EMS side, leaving us with nothing. Even worse, we have been unable to get either ativan or valium for months. Link to comment Share on other sites More sharing options...
jmj11 Posted May 17, 2012 Share Posted May 17, 2012 Too bad there isn't a shortage of Oxycontin or Vicodin? Link to comment Share on other sites More sharing options...
Moderator True Anomaly Posted May 17, 2012 Moderator Share Posted May 17, 2012 Too bad there isn't a shortage of Oxycontin or Vicodin? Yeah. That'll truly be a cold day in hell. Link to comment Share on other sites More sharing options...
xxbowiexx Posted May 17, 2012 Share Posted May 17, 2012 We've been short on Compazine, Reglan, and now Toradol as well. Seems like all of the good Non-narcotic meds are in shortage, which is frustrating. I don't like using Phenergan IV as there has been known cases of tissue necrosis. BTW, has anyone has any experience with Ofirmev, acetaminophen IV injection. Perhaps this may be another option to treat mild-moderate pain the way we use Toradol. Link to comment Share on other sites More sharing options...
VictoriaO Posted May 17, 2012 Share Posted May 17, 2012 Bummer, Toradol is one of my favs. I hope we're not on the verge of a shortage. We use some IV tylenol sometimes, seems to work fairly well. We're having IV anti-emetic shortages like crazy at our shop (same region as EMED), phenergan, zofran, compazine, reglan, I even get pop-ups with IV Benadryl sometimes. Right now I'm on a crusade to stop my diabetics from getting 10mg IV dex for prophylactic post-op nausea/vomiting (seems to be in vogue with our anesthesiologists these days) every time they go down for a surgical washout, then having to go back on the insulin drip over night. Anyone else wish we had an IV dilaudid shortage? Would cut down on our ED volume of BS once word got out and half our inpatient census would leave AMA if they weren't getting their "doolidid" fix. Some days I swear, on the 11th day God created Haldol, Satan created Dilaudid. :) Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted May 17, 2012 Moderator Share Posted May 17, 2012 We are also intermittently short on zofran on the EMS side, leaving us with nothing. Even worse, we have been unable to get either ativan or valium for months. our medics have inapsine. it's actually easier for them to give it than us... Link to comment Share on other sites More sharing options...
surgblumm Posted May 17, 2012 Share Posted May 17, 2012 I'm a big Zofran user and the hospital would love to see that expensive antiemitic disappear. Bob Link to comment Share on other sites More sharing options...
flyingsquirrel Posted May 17, 2012 Share Posted May 17, 2012 our medics have inapsine. it's actually easier for them to give it than us... When I worked in NYS we had promethazine. It was great...they would stop vomiting AND go to sleep. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted May 18, 2012 Moderator Share Posted May 18, 2012 When I worked in NYS we had promethazine. It was great...they would stop vomiting AND go to sleep. inapsine is even better. crazy? give inapsine. nauseated? give inapsine. headache? give inapsine. behavioral issues? give inapsine. I used to give it 5+ times/shift and haven't given it in over 5 yrs now since the black box warning...also regarding promethazine most folks only use it IM/PO/PR now because it causes vein sclerosis when given IV apparently... Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted May 18, 2012 Moderator Share Posted May 18, 2012 inapsine is even better. crazy? give inapsine. nauseated? give inapsine. headache? give inapsine. behavioral issues? give inapsine. I used to give it 5+ times/shift and haven't given it in over 5 yrs now since the black box warning...also regarding promethazine most folks only use it IM/PO/PR now because it causes vein sclerosis when given IV apparently... I've never heard of sclerosis of veins with promethazine and have given it thousands of times with no problems. I have heard that arterial injection (by accidentally placing an IV there) can cause severe sclerosis and almost always ends in lost limbs. Some people made a big stink over that. And 100% agree on inapsine. Gave tons of it in the OR. Link to comment Share on other sites More sharing options...
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